Treatment Options for Severe Spasticity Due to Cerebral Palsy

Children and adults with cerebral palsy can manage their spasticity in many ways: rehabilitation, medication, injection therapy, even surgery. There is also ITB Therapy, using a Medtronic programmable pump, which can be extremely helpful for reducing your severe spasticity and enabling you to live a fuller, more active life.

There is currently no cure for severe spasticity. However, there are a number of treatment options available for managing your symptoms. They include:

Rehabilitation Therapy

Rehabilitation therapy usually takes place in a clinic, a hospital, or at home. It can include any combination of physical, occupational, or speech therapy.

Oral Medication

Oral medications may help some people treat the symptoms of spasticity.


Neurodestructive surgical procedures include selective dorsal rhizotomy, in which the dorsal (sensory) nerve roots are severed.

Injection Therapy

Injection therapy is usually intended for specific muscle groups (for example, one hand, one foot, one shoulder).

Orthopaedic Surgery

Orthopaedic surgeries include soft tissue procedures like tendon transfers and osteotomies (cutting a bone to change its alignment).

ITB Therapy

A Medtronic implantable pump, also called ITB TherapySM is an adjustable, reversible treatment for severe spasticity. A surgically placed pump and catheter deliver anti-spastic medication directly to the fluid around the spinal cord, where it’s needed most.

Information on this site should not be used as a substitute for talking with your doctor. Always talk with your doctor about diagnosis and treatment information.

Last updated: 22 Sep 2010

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